| NPI | 1194941757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE KRAKORA-LOOBY Member 847-548-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |